The information collection requirement
is necessary to ensure that applicants for TRICARE-Provider Status
meet the conditions for authorization as a TRICARE Corporate
Services Provider. The collected nformation will be used by TRICARE
contractors to process claims and verify authorization
status.
The burden has increased since
the previous approval due to an increase in hourly wages and the
total number of responses received.
$10,519
No
No
No
No
No
No
Uncollected
Kira Starks 571 372-4529
danikquia.k.starks.ctr@mail.mil
No
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.